Journal article
Weight-bearing CT as an approach to assess femoral–acetabular displacement during external rotation stress in the hip
Journal of hip preservation surgery, Vol.12(2), pp.93-104
08/01/2025
DOI: 10.1093/jhps/hnaf001
PMCID: PMC12318925
PMID: 40761572
Abstract
Hip dysplasia causes pathologic joint mechanics and can produce hip instability, leading to progressive joint degeneration and osteoarthritis. Weight-bearing computed tomography (WBCT) is an emerging technology that may enable quantification of femoral–acetabular displacement as an objective indicator of instability. To evaluate this potential, 10 patients indicated for periacetabular osteotomy to treat hip dysplasia and 10 healthy controls underwent two WBCT protocols. Participants were scanned in a neutral stance [weight-bearing (WB)] and again with the hip stressed in maximal external rotation (WB-stress), a position hypothesized to reproduce anterior instability. Clinical, nonweight-bearing computed tomography (CT) scans were available for patients with hip dysplasia. Congruency of the femoroacetabular joint space and position of the femoral head in the acetabulum were quantified via multiple 2D manual measurements and automated 3D measurements. There were no 2D measurements found to differ between the WB and WB-stress scans in either dysplastic (P = .742–1.000) or control (P = .203–1.000) hips. 3D translation of the femoral head center from WB to WB-stress averaged 1.3 ± 0.6 mm in the control hips, compared to 0.9 ± 0.4 mm in the dysplastic hips (P = .096). 3D joint space width (JSW) was determined for both the control and dysplastic hips, with greater JSW found in control hips for both the WB (P = .049) and WB-stress (P = .003) scans. WBCT has the potential to better capture subtle femoral–acetabular displacement derived from both automated 3D and manual 2D measurements in static instability-prone joint orientations.
Details
- Title: Subtitle
- Weight-bearing CT as an approach to assess femoral–acetabular displacement during external rotation stress in the hip
- Creators
- Dominic J. L Rivas - University of IowaJoshua M Gassmann - University of IowaJessica E Goetz - University of Iowa Hospitals and ClinicsHolly D Aitken - University of IowaJohn C Davison - University of IowaAspen Miller - University of Iowa, Orthopedics and RehabilitationMichael C Willey - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Journal of hip preservation surgery, Vol.12(2), pp.93-104
- DOI
- 10.1093/jhps/hnaf001
- PMID
- 40761572
- PMCID
- PMC12318925
- NLM abbreviation
- J Hip Preserv Surg
- ISSN
- 2054-8397
- eISSN
- 2054-8397
- Publisher
- OXFORD UNIV PRESS
- Grant note
- Iowa Biosciences AcademyNIH-funded program: R25GM058939
This work was funded by the Iowa Biosciences Academy, an NIH-funded program, award number R25GM058939. NIH did not have a role in study design, collection, analysis, interpretation, or presentation of the data,
- Language
- English
- Electronic publication date
- 01/22/2025
- Date published
- 08/01/2025
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Injury Prevention Research Center
- Record Identifier
- 9984775260902771
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